New Client Form

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Happy Hounds Boarding

1668 Rhea County Highway
Dayton, TN 37321

Phone: (423) 775-6880

New Client Form

Thank you for giving us the opportunity to care for your pet (s). In order to maintain accurate records
we ask that you complete all of the following information.

Owner's Name*

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Cell Phone

I am aware that Happy Hounds Boarding requires payment at the time of service. It is NOT our policy to extend credit. If payment is not made and the account is turned over to our collection agency I agree to pay a 35% collection fee and reasonable attorney fees.

Please indicate choice of payment: Cash Credit Credit/Debit

I understand Happy Hounds Boarding is not a 24 hour emergency facility, therefore, referrals to local emergency centers may be recommended if overnight or more intensive care is needed.

Signature*

Pet’s Name

Pet 1

Pet 2

Pet 3

Species

Pet 1

Pet 2

Pet 3

Breed

Pet 1

Pet 2

Pet 3

Date of Birth

Pet 1

Pet 2

Pet 3

Color

Pet 1

Pet 2

Pet 3

Sex

Pet 1

Pet 2

Pet 3

Spayed or Neutered

Pet 1

Pet 2

Pet 3

Current Weight

Pet 1

Pet 2

Pet 3

Previous Vaccine reaction?

Pet 1

Pet 2

Pet 3

Date of last Rabies Vaccination?

Pet 1

Pet 2

Pet 3

Date of last DHPP (dogs) or FVRCP (cats)?

Pet 1

Pet 2

Pet 3

Date of last Kennel Cough vaccine (dogs)?

Pet 1

Pet 2

Pet 3

Date and type of any other known Vaccines (FeLV, Leptospirosis, Canine influenza, etc)?

Pet 1

Pet 2

Pet 3

Current illness or known chronic conditions ?

Pet 1

Pet 2

Pet 3

Previous serious illness or surgeries ?

Pet 1

Pet 2

Pet 3

Current Medications

Pet 1

Pet 2

Pet 3

Vaccination Policy

Happy Hounds Boarding highly recommends core and required vaccinations to protect your pet from deadly diseases common in our area. Certain vaccinations are annual and others are every 2-3 years. These vaccinations will be tailored for each pet and their needs. Please discuss with your Veterinarian which of these vaccinations is appropriate for your pet.

I understand vaccine reactions can occur but are rare. The benefits of vaccination outweigh the risks in majority of pets and most reactions are minor such as facial swelling and hives. These reactions should be reported in order to limit reactions in the future. I understand South Rhea Animal Hospital provides only safe and effective vaccinations that are species specific and stored appropriately. I also understand that qualified Veterinarians give appropriate “doses” of vaccines as recommended by the manufacturer.

I consent/ do NOT consent to the Veterinarians at South Rhea Animal Hospital to vaccinate my pets and accept the potential risk of a vaccine reaction.

Consent

Do NOT Consent

I understand that Rabies vaccination is required by state law for all pets and must be kept current. I also understand that Tennessee State law requires a 1 year rabies booster before starting a 3 year protocol. I will provide Rabies vaccination proof and If I cannot provide proof Happy Hounds Boarding will require a Rabies vaccination at my pet’s visit unless my pet has an illness, disease, or other special circumstance that would potentially make vaccinating risky. This protects Happy Hounds Boarding's employees, myself, and the public from a fatal disease that can be carried by Bats, skunks, foxes, raccoons, and coyotes.

Signature*

Date